Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Desoto Family Medical Practice, PC

Organization Family Medicine Physician · NPI 1255343273

Desoto Family Medical Practice, PC provides Family Medicine Physician services in Olive Branch, Mississippi. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7163 Goodman Rd
Olive Branch, MS 38654-1904 Not confirmed with CMS for 14 years — call before visiting
Phone: (662) 895-3700
Fax: (662) 895-4886
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1255343273
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Tate — Secretary · (662) 895-3700
NPI enumeratedAugust 12, 2006
Last updated in NPPESNovember 19, 2011
Mailing address7163 Goodman Rd, P. O. Box 518, Olive Branch, MS 38654-1904

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